Young girls bleeding vagina

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In stark contrast, girls with vaginal bleeding in the setting of primary hypothyroidism have linear growth failure and symptoms such as decreased energy, cold intolerance, and constipation. Noninvasive imaging was useful in identifying 5 of 7 vaginal foreign bodies. The addition of growth-promoting therapies such as growth hormone, GnRH analogs GnRHaand aromatase inhibitors are considered experimental. All preparations of GnRHa are expensive. How should you interpret the results? Physical examination may demonstrate findings of abuse, such as tears in the hymen or posterior fourchette; however, it is important to note that a majority of victims of sexual abuse will not show abnormalities on physical exam. An investigation of the incidence and clinical features of pseudoprecocious puberty among children with profound primary hypothyroidism.

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